Membrane Fluctuation Model for Understanding the Effect of Receptor Nanoclustering on the Activation of Natural Killer Cells through Biomechanical Feedback.

We investigated the role of ligand clustering and density in the activation of natural killer (NK) cells. To that end, we designed reductionist arrays of nanopatterned ligands arranged with different cluster geometries and densities and probed their effects on NK cell activation. We used these arrays as an artificial microenvironment for the stimulation of NK cells and studied the effect of the array geometry on the NK cell immune response. We found that ligand density significantly regulated NK cell activation while ligand clustering had an impact only at a specific density threshold. We also rationalized these findings by introducing a theoretical membrane fluctuation model that considers biomechanical feedback between ligand-receptor bonds and the cell membrane. These findings provide important insight into NK cell mechanobiology, which is fundamentally important and essential for designing immunotherapeutic strategies targeting cancer.

Preliminary Studies on the Predation of the Mite Blattisocius mali (Acari: Blattisociidae) on Various Life Stages of Spider Mite, Thrips and Fruit Fly.

Research in recent years has shown that some species of predatory mites, considered to be typically associated with soil and litter, can also be found on plants. Such species include Blattisocius mali, which is an effective predator of acarid mites, nematodes and the eggs of moths and which can disperse by means of drosophilid fruit flies. Apart from soil and litter or storage, it has also been recorded on the bark of apple trees and the leaves of strawberries, thus suggesting its possible predation of/feeding on herbivorous mites and insects. Our goal was to examine whether B. mali could consume different development stages of two polyphagous herbivores, the two-spotted spider mite, Tetranychus urticae, and the western flower thrips, Frankliniella occidentalis, as well as the drosophilid fruit fly Drosophila hydei. In 24 h cage tests, single, starved B. mali females consumed all types of prey offered, i.e., the eggs, males and females of spider mites; the first-instar larvae and prepupae of thrips; and the eggs and first-instar larvae of fruit flies. The potential for B. mali to prey upon these insects and mites was confirmed. However, to estimate whether it can also effectively reduce their population, additional tests on the predator's survival, fecundity and prey preference are needed.

Block Chemistry for Accurate Modeling of Epoxy Resins.

Accurate molecular modeling of the physical and chemical behavior of highly cross-linked epoxy resins at the atomistic scale is important for the design of new property-optimized materials. However, a systematic approach to parametrizing and characterizing these systems in molecular dynamics is missing. We therefore present a unified scheme to derive atomic charges for amine-based epoxy resins, in agreement with the AMBER force field, based on defining reactive fragments─blocks─building the network. The approach is applicable to all stages of curing from pure liquid to gelation to fully cured glass. We utilize this approach to study DGEBA/DDS epoxy systems, incorporating dynamic topology changes into atomistic molecular dynamics simulations of the curing reaction with 127,000 atoms. We study size effects in our simulations and predict the gel point utilizing a rigorous percolation theory to recover accurately the experimental data. Furthermore, we observe excellent agreement between the estimated and the experimentally determined glass transition temperatures as a function of curing rate. Finally, we demonstrate the quality of our model by the prediction of the elastic modulus based on uniaxial tensile tests. The presented scheme paves the way for a broadly consistent approach for modeling and characterizing all amine-based epoxy resins.

Microscopic Droplet Size Analysis (MDSA) of "Five Thieves' Oil" (Olejek Pieciu Zlodziei) Essential Oil after the Nebulization Process.

Nowadays, due to a higher resistance to drugs, antibiotics, and antiviral medicaments, new ways of fighting pathogens are intensively studied. The alternatives for synthesized compositions are natural products, most of which have been known in natural medicine for a long time. One of the best-known and intensively investigated groups are essential oils (EOs) and their compositions. However, it is worth noting that the method of application can play a second crucial part in the effectiveness of the antimicrobial activity. EOs possess various natural compounds which exhibit antimicrobial activity. One of the compositions which is based on the five main ingredients of eucalyptus, cinnamon, clove, rosemary, and lemon is named "five thieves' oil" (Polish name: olejek pieciu zlodziei) (5TO) and is used in natural medicine. In this study, we focused on the droplet size distribution of 5TO during the nebulization process, evaluated by the microscopic droplet size analysis (MDSA) method. Furthermore, viscosity studies, as well as UV-Vis of the 5TO suspensions in medical solvents such as physiological salt and hyaluronic acid, were presented, along with measurements of refractive index, turbidity, pH, contact angle, and surface tension. Additional studies on the biological activity of 5TO solutions were made on the P. aeruginosa strain NFT3. This study opens a way for the possible use of 5TO solutions or emulsion systems for active antimicrobial applications, i.e., for surface spraying.

Demixing of homogeneous binary lipid membranes induced by protein inclusions.

We study a model of a lipid bilayer membrane described by two order parameters: the chemical composition described using the Gaussian model and the spatial configuration described with the elastic deformation model of a membrane with a finite thickness or, equivalently, for an adherent membrane. We assume and explain on physical grounds the linear coupling between the two order parameters. Using the exact solution, we calculate the correlation functions and order parameter profiles. We also study the domains that form around inclusions on the membrane. We propose and compare six distinct ways to quantify the size of such domains. Despite its simplicity, the model has many interesting features like the Fisher-Widom line and two distinct critical regions.

Effect of Intramuscular Tramadol on the Duration of Clinically Relevant Sciatic Nerve Blockade in Patients Undergoing Calcaneal Fracture Fixation: A Randomized Controlled Trial.

BACKGROUND: Calcaneal fracture fixation can generate severe postoperative pain and analgesia can be supported by a sciatic nerve block. However, following resolution of the sensory blockade, rebound pain may ensue. The aim of this study was to assess whether an incidental finding of two patients with an extension of the sciatic nerve block beyond 24 h following 100 mg of intramuscular tramadol administration could be confirmed. METHODS: Thirty-seven patients scheduled for a calcaneal intramedullary fixation (Calcanail®) were randomly divided into two groups. The tramadol group (n = 19) received a sciatic nerve block with 20 mL of 0.25% bupivacaine and a concomitant dose of 100 mg of intramuscular tramadol, while the control group (n = 18) received an identical sciatic nerve block with concomitant injection of normal saline (placebo). All patients had a spinal anesthesia with light sedation for the procedure. The time to first analgesic request defined as appearance of any pain (NRS > 0) was assessed as the primary endpoint with a clinically relevant expected result of at least 50% elongation in sensory blockade. RESULTS: The median time to first analgesic request from time of blockade in the tramadol group was 670 min compared with 578 min in the control group. The result was clinically not relevant and statistically not significant (p = 0.17). No statistical difference could be demonstrated in the time to first opioid request, although a trend for opioid sparing in the tramadol group could be seen. Total morphine consumption in the first 24 h was also statistically insignificant (the tramadol group 0.066 mg kg-1 compared with 0.125 mg kg-1 in the control group). In conclusion, intramuscular tramadol does not extend the duration of analgesia of a sciatic nerve block following a calcaneal fracture fixation beyond 2 h and an opioid sparing effect could not be demonstrated in this trial.

The evaluation of energy consumption in transportation and processing of municipal waste for recovery in a waste-to-energy plant: a case study of Poland.

Refuse-derived fuel (RDF) can be produced from combustible materials contained in municipal waste. This article investigates energy and material flow of waste in different scenarios for production of RDF from bulky waste, separately collected waste, and mixed municipal solid waste (MSW). We compare the proportion of energy consumption in transportation, handling waste, and processing using data from the waste collection company in South Poland. The findings show the components of the reverse supply chain consuming the highest value of energy. A model of material and energy flow has taken into consideration collection of waste and transportation by two categories of waste collection vehicles: light commercial vehicles and garbage trucks. The shipping of RDF from pre-treatment facilities uses tipper semi-trailers and walking floor trailers. The findings of the study show production of RDF from municipal solid waste consumes almost 10% of energy potential in RDF. Less energy is required for the production of RDF from bulky waste (2.2-4.8%) or separately collected waste (1.7-4.1%) depending on the efficiency of collection and selected vehicles. Transportation consumes the greatest portion of energy. For mixed municipal solid waste (MSW), it can reach 79%; for separated collection waste, 90%; and for bulky waste, up to 92% of the total energy consumed. Comparing emissions for two categories of the collection vehicles, no significant difference was found for the bulky waste collections. For mixed MSW and separately collected waste, the emissions are higher for garbage trucks. A recommendation for practitioners is optimization of routing to achieve a higher collection rate at a minimized route length. For transportation of RDF to WtE plants, vehicles with higher loading capacity are essential.

Efficacy and Side Effect Profile of Intrathecal Morphine versus Distal Femoral Triangle Nerve Block for Analgesia following Total Knee Arthroplasty: A Randomized Trial.

(1) Background: The management of postoperative pain after knee replacement is an important clinical problem. The best results in the treatment of postoperative pain are obtained using multimodal therapy principles. Intrathecal morphine (ITM) and single-shot femoral nerve block (SSFNB) are practiced in the treatment of postoperative pain after knee replacement, with the most optimal methods still under debate. The aim of this study was to compare the analgesic efficacy with special consideration of selected side effects of both methods. (2) Materials and methods: Fifty-two consecutive patients undergoing knee arthroplasty surgery at the Department of Orthopedics and Traumatology of the Medical University of Warsaw were included in the study. Patients were randomly allocated to one of two groups. In the ITM group, 100 micrograms of intrathecal morphine were used, and in the SSFNB group, a femoral nerve block in the distal femoral triangle was used as postoperative analgesia. The other elements of anesthesia and surgery did not differ between the groups. (3) Results: The total dose of morphine administered in the postoperative period and the effectiveness of pain management did not differ significantly between the groups (cumulative median morphine dose in 24 h in the ITM group 31 mg vs. SSFNB group 29 mg). The incidence of nausea and pruritus in the postoperative period differed significantly in favor of patients treated with a femoral nerve block. (4) Conclusions: Although intrathecal administration of morphine is similarly effective in the treatment of pain after knee replacement surgery as a single femoral triangle nerve block, it is associated with a higher incidence of cumbersome side effects, primarily nausea and pruritus.

Methods of assessing fluid responsiveness in septic shock patients: a narrative review.

A growing body of evidence shows that some septic patients experience fluid overload, which leads to an increased number of serious complications and death. This is because the majority of septic patients are fluid non-responders. Therefore, a reliable distinction of which patient would benefit from fluid boluses is crucial in current sepsis mana-gement. Several methods used to assess fluid responsiveness have been developed. The principle of "dynamic" measurements (in contrast to static indices such as central venous pressure) involves the induction of a change in cardiac preload and the measurement of its effect on stroke volume. Dynamic methods are based on either heart-lung interaction during mechanical ventilation or on an assessment of change in cardiac stroke volume in response to fluid provocative stimuli such as rapid fluid administration, passive leg raising, or the end-expiratory occlusion test. Most dynamic measurements are easy to perform and interpret as well as being available at the bedside. However, they vary in their invasiveness, difficulty in performance, reliability, and limitations. In this study, we provide an overview of various methods for assessing fluid responsiveness and indicate those that potentially lead to haemodynamically guided fluid restrictive treatment that would prevent fluid overload in septic patients.

On the Dependence of Prion and Amyloid Structure on the Folding Environment.

Currently available analyses of amyloid proteins reveal the necessity of the existence of radical structural changes in amyloid transformation processes. The analysis carried out in this paper based on the model called fuzzy oil drop (FOD) and its modified form (FOD-M) allows quantifying the role of the environment, particularly including the aquatic environment. The starting point and basis for the present presentation is the statement about the presence of two fundamentally different methods of organizing polypeptides into ordered conformations-globular proteins and amyloids. The present study shows the source of the differences between these two paths resulting from the specificity of the external force field coming from the environment, including the aquatic and hydrophobic one. The water environment expressed in the fuzzy oil drop model using the 3D Gauss function directs the folding process towards the construction of a micelle-like system with a hydrophobic core in the central part and the exposure of polarity on the surface. The hydrophobicity distribution of membrane proteins has the opposite characteristic: Exposure of hydrophobicity at the surface of the membrane protein with an often polar center (as in the case of ion channels) is expected. The structure of most proteins is influenced by a more or less modified force field generated by water through the appropriate presence of a non-polar (membrane-like) environment. The determination of the proportion of a factor different from polar water enables the assessment of the protein status by indicating factors favoring the structure it represents.

Multidisciplinary Studies of Folk Medicine "Five Thieves' Oil" (Olejek Pieciu Zlodziei) Components.

To meet the growing interest in natural antibacterial agents, we evaluated the physicochemical and biological properties of the folk medicine known as "five thieves' oil" (Polish name: olejek pieciu zlodziei). Five thieves' oil consists of a mixture of five oils: rosemary, lemon, clove, eucalyptus, and cinnamon. In this study, we performed gas chromatography, FTIR, and UV-vis spectroscopic analysis, as well as L-a-b color tests, contact angle determination, and surface tension determination. To verify its antibacterial activity, the metabolic activity and changes in cell membrane permeability of bacteria of the genus Pseudomonas were studied. As a result, it was found that among the constituent oils, the oils of clove and cinnamon were the least volatile and, at the same time, had the strongest antibacterial activity. However, a mix of all the oils also showed comparable activity, which was even more pronounced for the oils after 4 weeks of aging. This effect can be linked to the high content of terpene derivatives such as eugenol and cinnamaldehyde, which can cause changes in bacterial membrane permeability, affecting cell activity and survival. This study is the first to characterize the constituents of the popular folk medicine five thieves' oil, confirming and explaining its strong antibacterial activity, thus constituting a significant contribution to contemporary health education.

Dependence of Protein Structure on Environment: FOD Model Applied to Membrane Proteins.

The natural environment of proteins is the polar aquatic environment and the hydrophobic (amphipathic) environment of the membrane. The fuzzy oil drop model (FOD) used to characterize water-soluble proteins, as well as its modified version FOD-M, enables a mathematical description of the presence and influence of diverse environments on protein structure. The present work characterized the structures of membrane proteins, including those that act as channels, and a water-soluble protein for contrast. The purpose of the analysis was to verify the possibility that an external force field can be used in the simulation of the protein-folding process, taking into account the diverse nature of the environment that guarantees a structure showing biological activity.

The influence of preliminary processing of end-of-life tires on transportation cost and vehicle exhausts emissions.

Recovery and recycling end-of-life tires (ELT) incur a significant cost of collection and transportation. Improperly conducted ELT collection contributes to excessive vehicle exhaust emissions and high transportation costs. This study investigates the collection and transportation costs of ELT including preliminary processing of waste tires like cutting, baling and packing tires to reduce the volume of each shipment. Waste collection vehicles exhaust emissions were examined in the collection scenarios. In this study a novel approach of multi-criteria decision support - coupled analytical hierarchy process (AHP) and Preference Ranking Organization METHod for Enrichment of Evaluations (PROMETHEE) methods have been applied for selecting the best scenario, considering costs and environmental impacts in the collection of ELT. The results show the most profitable method of the ELT collection by routing of heavy truck and pickup of waste tires from a local network after preprocessing. Packing the tires in the collection points reduces the total cost between 20-30% and vehicles' exhaust emissions up to 40 %, compared to other methods in the Polish case study. The proposed decision support method is useful for evaluating environmental and cost factors, especially in regions where transport costs due to distances constitute the largest share of costs. This method and the results are useful for the ELT collection companies in promoting sustainable methods of transportation of waste including emission and economic factors. The study encourages using the compacting of ELT at the collection points for more efficient transportation.

Consensus of the Study Group for Point-of-Care Lung Ultrasound in the intensive care management of COVID-19 patients.

Respiratory failure is a dominating medical issue in the severe course of COVID-19. Both at the stage of diagnostics prior to admission to the intensive care unit and during the monitoring of lesion evolution, diagnostic imaging techniques may significantly influence clinical decisions. Although computed tomography remains the gold standard for diagnosing lung diseases, its usefulness for infected, critically ill patients has been largely limited during the pandemic. Reports from those countries in which the healthcare systems were most seriously overloaded with patients with COVID-19-induced pneumonia stress the key role of point-of-care lung ultrasound performed by clinicians first during preliminary diagnostics and then while monitoring disease dynamics. This consensus, worked out by an interdisciplinary team of specialists forming the Study Group for Point-of-Care Lung Ultrasound in the Intensive Care Management of COVID-19 Patients, presents a broad spectrum of aspects regarding the analysed issue. Its concise form is meant to serve clinicians who perform ultrasound as a straightforward and informative guide.

Combining an artificial intelligence algorithm and a novel vehicle for sustainable e-waste collection.

Mobile collection of waste electrical and electronic equipment is a collection method that is convenient for residents and companies. New opportunities to use mobile apps and internet applications facilitate the ordering of waste pickups from households and preparation of a collection plan for a waste collection company. It improves the secondary raw materials collection in a circular economy approach after recycling waste equipment. This study presents a combined methodology for improving the efficiency of e-waste collection. An online e-waste collection supporting system uses a Harmony Search algorithm for route optimization of waste collection vehicles. The results of the optimization are better compared to other artificial intelligence algorithms presented in the literature and the number of visited collection points is higher from 1.2%-6.6% depending on the compared algorithm. To increase the efficiency of waste loading and packing, a novel collection vehicle body construction is presented. The design includes the convenient loading of waste from both sides of the vehicle and the rear side being equipped with a hydraulic lift. The proposed vehicle model can be used for e-waste collection in places with limited parking spaces or where the parking time is limited, such as in densely populated city centers. The waste equipment packing efficiency increases and eliminates the necessity of including a container loading problem in the algorithm and allows increasing waste equipment number loaded in a collection vehicle.

Application of deep learning object classifier to improve e-waste collection planning.

This study investigates an image recognition system for the identification and classification of waste electrical and electronic equipment from photos. Its main purpose is to facilitate information exchange regarding the waste to be collected from individuals or from waste collection points, thereby exploiting the wide acceptance and use of smartphones. To improve waste collection planning, individuals would photograph the waste item and upload the image to the waste collection company server, where it would be recognized and classified automatically. The proposed system can be operated on a server or through a mobile app. A novel method of classification and identification using neural networks is proposed for image analysis: a deep learning convolutional neural network (CNN) was applied to classify the type of e-waste, and a faster region-based convolutional neural network (R-CNN) was used to detect the category and size of the waste equipment in the images. The recognition and classification accuracy of the selected e-waste categories ranged from 90 to 97%. After the size and category of the waste is automatically recognized and classified from the uploaded images, e-waste collection companies can prepare a collection plan by assigning a sufficient number of vehicles and payload capacity for a specific e-waste project.

PRIMAGE project: predictive in silico multiscale analytics to support childhood cancer personalised evaluation empowered by imaging biomarkers.

PRIMAGE is one of the largest and more ambitious research projects dealing with medical imaging, artificial intelligence and cancer treatment in children. It is a 4-year European Commission-financed project that has 16 European partners in the consortium, including the European Society for Paediatric Oncology, two imaging biobanks, and three prominent European paediatric oncology units. The project is constructed as an observational in silico study involving high-quality anonymised datasets (imaging, clinical, molecular, and genetics) for the training and validation of machine learning and multiscale algorithms. The open cloud-based platform will offer precise clinical assistance for phenotyping (diagnosis), treatment allocation (prediction), and patient endpoints (prognosis), based on the use of imaging biomarkers, tumour growth simulation, advanced visualisation of confidence scores, and machine-learning approaches. The decision support prototype will be constructed and validated on two paediatric cancers: neuroblastoma and diffuse intrinsic pontine glioma. External validation will be performed on data recruited from independent collaborative centres. Final results will be available for the scientific community at the end of the project, and ready for translation to other malignant solid tumours.

The microbiome of the digestive system of ruminants - a review.

This review aims to explain the influence and characterization of the microbiome in the ruminant digestive system by presenting the knowledge collected so far. The knowledge presented in this work is focused on the main factors affecting the microbiome and the main dependencies that have been found in it so far. The microbiome in the rumen is the first to come into contact with the biomass of the forage and its main purpose is to decompose into smaller particles or compounds. With the gradual increase in knowledge about the microbiome, there is a chance to manipulate it so that the animal continues to live in a symbiotic relationship with it, while reducing greenhouse gas emissions to the environment as well as increasing feed efficiency. Therefore, understanding the influence of the ruminant microbiome is the main step to achieve such results. However, learning the relationship between microorganisms is only at an early stage, because research focuses mainly on taxonomy. Future research should focus on interactions in the ecosystem which is the microbiome, on explaining individual functions and on influence of environmental factors.

Investigating the reasons for storage of WEEE by residents - A potential for removal from households.

Some categories of waste electrical and electronic equipment (WEEE) escape legal methods of disposal. The waste stream intended for recycling is sometimes disrupted because of the stockpiling of end of life (EOL) equipment in households. In some cases this equipment may be non-functional or broken but it is kept by the individuals. It is usually equipment of small dimensions that is involved in these instances. The main purpose of this study is to identify the reasons that individuals stockpile EOL equipment. A behavioural model of WEEE disposal by household individuals is proposed and tested with a survey. Results from questionnaires show the differences in behaviour for individual categories of WEEE included in the survey conducted in Poland. The results show the significance of education, age, gender and type of residence on behavioural patterns relating to disposal of waste equipment. The most likely to be stockpiled are computer accessories and other information technology equipment, comprising above 60% of responses, and mobile phones, being above 80% of responses. The most frequent reason for stockpiling is intended possible use of the equipment in the future. The results of this research can be used in campaigns aimed at increasing household awareness against stockpiling.